Senior Quilt Form 2020

Name *
Name
Address
Address
Phone
Phone
Color Preference *
Please choose the colors that you prefer in your quilt (you may choose up to 3 colors)
Getting to Know You
It will help the person designing your quilt if they know a little bit about you.
ex: music, sports, extra-curricular activities, hobbies, etc.
I would like my quilter to incorporate my interests into my quilt *
The person making your quilt will also be praying for you this year. Please list prayer request(s)